<form action="https://secure.bluepay.com/interfaces/shpf" method="POST">
  <input type="hidden" name="ORDER_ID" value="{{ ORDER_ID }}"> <input type="hidden" name="NAME1" value="{{ NAME1 }}"> <input type="hidden" name="NAME2" value="{{ NAME2 }}"> <input type="hidden" name="ADDR1" value="{{ ADDR1 }}"> <input type="hidden" name="ADDR2" value="{{ ADDR2 }}"> <input type="hidden" name="CITY" value="{{ CITY }}"> <input type="hidden" name="STATE" value="{{ STATE }}"> <input type="hidden" name="ZIPCODE" value="{{ ZIPCODE }}"> <input type="hidden" name="COUNTRY" value="{{ country }}"> <input type="hidden" name="PHONE" value="{{ PHONE }}"> <input type="hidden" name="EMAIL" value="{{ email }}"> <input type="hidden" name="SHPF_FORM_ID" value="{{ SHPF_FORM_ID }}"> <input type="hidden" name="SHPF_ACCOUNT_ID" value="{{ SHPF_ACCOUNT_ID }}"> <input type="hidden" name="SHPF_TPS" value="{{ SHPF_TPS }}"> <input type="hidden" name="SHPF_TPS_DEF" value="{{ SHPF_TPS_DEF }}"> <input type="hidden" name="MODE" value="{{ MODE }}">
  <input type="hidden" name="TRANSACTION_TYPE" value="{{ TRANSACTION_TYPE }}"> <input type="hidden" name="MERCHANT" value="{{ MERCHANT }}"> <input type="hidden" name="DBA" value="{{ DBA }}"> <input type="hidden" name="TAMPER_PROOF_SEAL" value="{{ TAMPER_PROOF_SEAL }}"> <input type="hidden" name="CARD_TYPES" value="{{ CARD_TYPES }}"> <input type="hidden" name="REDIRECT_URL" value="{{ REDIRECT_URL }}"> <input type="hidden" name="APPROVED_URL" value="{{ APPROVED_URL }}"> <input type="hidden" name="DECLINED_URL" value="{{ DECLINED_URL }}"> <input type="hidden" name="MISSING_URL" value="{{ MISSING_URL }}"> <input type="hidden" name="TPS_DEF" value="{{ TPS_DEF }}"> <input type="hidden" name="AMOUNT" value="{{ amount }}">
  <div class="d-inline-block pt-2 pd-2 w-100">
    <div class="float-right">
      <button type="submit" id="button-submit" data-loading-text="{{ text_loading }}" class="btn btn-primary">{{ button_confirm }}</button>
    </div>
  </div>
</form>